A four corner fusion system can include a curved plate that is more aligned with the natural anatomy of the wrist joint, and/or fewer number of screws (for example, about three or four screws). The system can have a lower profile, resulting in less soft tissue impingement. A surgical tool with a pair of offsetting clamping arms can be used to aid in bone reduction during a wrist fusion procedure.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

A chiral needle package and receptacle are configured together so as to allow a user to configure the suture package and receptacle in a first chiral configuration for right handed use and a second chiral configuration for left handed use. The chirality configurable suture package and needle receptacle can be configured in many ways, and may comprise a first cover on a first side to allow access to the one or more needles and the needle receptacle on first side corresponding to right handed use and chirality, and a second cover on a second side corresponding to left handed use and chirality. The chirality configurable suture package can be packaged with the chirality configurable needle receptacle in order to dispense and to receive needles, such that the suture package and the needle trap are packaged together in a sterile housing configured for right handed use or left-handed use.

Surgical trays, tools and methods for use in hip replacement surgery wherein the hip replacement prosthesis is a reverse hip prosthesis. The trial components, specialized tools and methods of the invention enable a surgeon to identify the optimum components of the reverse hip prosthesis for implantation in a patient based on the sizes and angles best adapted to the patent's anatomy.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.

Surgical trays, tools and methods for use in hip replacement surgery wherein the hip replacement prosthesis is a reverse hip prosthesis. The trial components, specialized tools and methods of the invention enable a surgeon to identify the optimum components of the reverse hip prosthesis for implantation in a patient based on the sizes and angles best adapted to the patent's anatomy.

Surgical trays, tools and methods for use in hip replacement surgery wherein the hip replacement prosthesis is a reverse hip prosthesis. The trial components, specialized tools and methods of the invention enable a surgeon to identify the optimum components of the reverse hip prosthesis for implantation in a patient based on the sizes and angles best adapted to the patent's anatomy.

An ultrasonic instrument includes a body, an actuation assembly, a shaft assembly, and an end effector. The actuation assembly includes an activation member that is operable to move in a first direction to select a mode of operation. The shaft assembly extends distally from the body and includes an acoustic waveguide. The end effector includes an ultrasonic blade that is in acoustic communication with the acoustic waveguide. The activation member is operable to move in a second direction to activate the end effector in a mode of operation selected by movement of the activation member in the first direction.